Individual provider Active NPI

Lisa Renee Reeves, MD

  • Specialist
  • Detroit, MI
National Provider Identifier
1568494185
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LR058110 Issued in MI
Practice address
20176 Livernois Ave
Detroit, MI 48221-1346
Phone
(313) 864-3000
Fax
(313) 864-5423
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X LR058110 MI Primary

Addresses

Primary practice location

20176 Livernois Ave
Detroit, MI 48221-1346

Mailing address

20176 Livernois Ave
Detroit, MI 48221-1346
Phone (313) 864-3000

Other identifiers 1

IdentifierTypeStateIssuer
103147445MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000807 MI Practitioner - Internal Medicine 7719152875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deon D Middlebrook M D PCGroup PAC ID 0547435695, 2 clinicians

Practice addresses (Care Compare)

20176 Livernois Ave
Suite 100
Detroit, MI 48221-1346
Phone (313) 864-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LR058110MIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Deon D Middlebrook M D PC Multi-Specialty CurrentSince Aug 1, 1996 Accepting new patients

Locations

20176 Livernois Ave
Ste 200
Detroit, MI 48221
Phone (313) 864-3000

20176 Livernois Ave
Ste 204
Detroit, MI 48221

20176 Livernois Ave
Ste 201
Detroit, MI 48221
Phone (313) 864-7000

20176 Livernois Ave
Ste 100
Detroit, MI 48221
Phone (313) 864-3000

20176 Livernois Ave
Detroit, MI 48221
Phone (313) 864-3000

Interoperability endpoints

  • Direct secure messaging: lreeves@direct.dmc.org
  • FHIR API: https://api.platform.athenahealth.com/16674/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568494185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20176 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211346",
            "telephone_number": "313-864-3000",
            "fax_number": "313-864-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20176 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211346",
            "telephone_number": "313-864-3000",
            "fax_number": "313-864-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "LR058110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103147445",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.